Miami-Dade Community College

FURNITURE WORK ORDER

 

Please fill out and return to Campus Planner                                                       P:\FAC\SHARED\FAC_MGMT\FAC_D&C\WPDOC\FORMS\FWO‑FORM.WPD

 

GENERAL INFORMATION:

 

Date Submitted: __________________                                                   Date Required: _________________

 

Work Location:    Campus: ______________________________   Bldg: ___________________ Room(s):_ ________________________

 

Requested By: _________________________________       Title:____________________________________________

 

Dept.: ______________________________________     Room #: ______________ Phone: ________ Fax: ________

 

Contact (if different): ___________________________________________________________________   Phone: ___________  Fax:  _________

   

FUNDING SOURCE: 

  Campus Funds                       Other (SPECIFY)  ________________________________________________________________

 

TYPE OF WORK:(Check all that apply)

  Reconfigure only                   Purchase & Reconfigure                              Removal & Storage by Campus

  Estimate only                         Purchase w/ installation only                       Repair

  Other(Specify)______________________________________________________________________________________________

 

DESCRIPTION OF WORK: (Include sketches if applicable)_______________________________________________________

 

_____________________________________________________________________________________________________________

 

______________________________________________________________________________________________________________

 

 Attachments(Specify)___________________________________________________________________________________

 

AUTHORIZING SIGNATURES:

 

____________________________________________________________         ____________________________

Campus Facilities Planner                                                                                                                                               Date

 

____________________________________________________________         ____________________________

 

FWO NUMBER ___________________________________            PROJECT ________________________________________________

 

DATE RECEIVED __________________________________              REQUISITION#(S)_________________________________

                                                                                                                                                               

COMPLETED _____________________________________________

 

FACILITIES MGMT. USE ONLY

Campus Dean For Administration                                                                                                                                 Date

NOTE: UPON SUBMISSION OF THE  REQUISITION TO THE PURCHASING DEPARTMENT,  PLEASE FORWARD A COPY TO MAUREEN BRISTOL AT 70590 OR E-MAIL ADDRESS mbristol@mdcc.edu